First Name*
    Last Name*
    Email*
    Phone*
    Address 1*
    Address 2
    City*
    Zip code*
    Are you applying for LLT, Time Emporium, or both?* LLTTEBoth
    Are you a citizen of U.S. or authorized to work in the U.S.?* YesNo
    Have you worked under any other name? If so, please list.
    Have you ever been convicted of a felony or misdemeanor within the last 5 years? (This will not necessarily affect your application.)* YesNo
    Which of the following age categories do you fall under?
    15 & under1617-2021 & older

    Educational History

    High School Name
    Years Attended
    College Name
    Years Attended
    List any clubs, extracurricular activities, or other achievements relevant to this position.

    Employment Record

    Name your last three employers beginning with the most recent.

     

    Work Experience 1

    Company
    Address
    Job Title
    Duties
    Supervisor
    Pay rate
    Dates worked
    Reason for leaving

    Work Experience 2

    Company
    Address
    Job Title
    Duties
    Supervisor
    Pay rate
    Dates worked
    Reason for leaving

    Work Experience 3

    Company
    Address
    Job Title
    Duties
    Supervisor
    Pay rate
    Dates worked
    Reason for leaving
    In addition to your work history, are there any other skills, qualifications, or experiences that we should consider?
    What positions are you interested in?*
    Desired hours worked per week?
    What is your desired pay?
    Why would you like to work at LLT?*
    What skills do you feel you would bring to LLT if you were to be hired?*
    Is there anything else you would like us to know when reviewing your application?*
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